<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<h1>Personal Information</h1>
</head>

<body>
	<form name="personal_information" action="personal_information_process.php" method="post">
		First Name:		<input type="text" name="first_name">		</br>
		Middle Initial:	<input type="text" name="middle_initial">	</br>
		Last Name:		<input type="text" name="last_name">		</br>
		Email:			<input type="text" name="email">			</br>
		Phone:			<input type="text" name="phone">			</br>
		Address:		<input type="text" name="address">			</br>
						<input type="submit" value="Continue">
	</form>
</body>
</html>
